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date: 21 March 2019

Abstract and Keywords

This chapter discusses the terms stewardship and governance at the intersection of ethics and public health. Within the context of public health, governance broadly refers to the political processes by which decisions are reached and upheld, and stewardship refers to the technical processes that inform those decisions. The two concepts encompass a range of morally relevant considerations found in prominent public health ethics frameworks, including promoting utility, value for money, equity, accountability, and norms of distributive and procedural justice. This chapter takes a closer look at these considerations and explores how stewardship and governance enable and empower health systems to make ethical decisions. It further explores ethical challenges and negative consequences to health that arise in systems lacking good stewardship and governance.

Keywords: accountability, distributive justice, equity, governance, procedural justice, stewardship, utility, value for money, public health ethics

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